| NPI | 1831505015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE ELIZABETH DORSAINVILLE-DIANGANI Owner 832-849-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 25198) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-09-16 |